I Can Do Nothing For You

a person holding a bunch of leaves in their hands.

In one of the first classes I took as a graduate student, the professor began her first lecture by saying something along the lines of, “So, you want to be a therapist? Well, let’s start with some ground rules. Rule number one: Never help anyone.” I was flabbergasted. Dumbfounded. For a moment I thought I’d sat down in the wrong class. I wondered how a professor could give such an incomprehensible instruction to a group of students who, by and large, chose their career path so they could help and serve others. I started to rethink everything that influenced my decision to become a therapist.

That professor never directly explained what she meant by her shocking introductory message. Instead, she assured us that through the course of our experiences as students, interns, and professionals, we would come to learn exactly what she was talking about. I’ll admit that it took me some time to understand the meaning behind her injunction to “never help anyone.” During the first couple years of my career, I exhausted myself with efforts to help my clients. I put all my energy into trying to motivate them, heal them, free them from their unfortunate circumstances, inspire them to change. In many cases, I worked harder than my clients at making a difference in their lives, only to find myself disappointed and depleted when things didn’t go according to my plan. I can’t recall the specific moment when my professor’s teaching became clear to me, but once it did, it revolutionized my work and inspired me to pass the wisdom on to others.

What I came to understand is that if I was to truly be of service to my clients, I had to transform my understanding of what it meant to “help” them. All along I had been working from the premise that helping others means doing things for them, taking action on their behalf, grabbing the reins and steering their lives in a particular direction. The truth is, I acted from this definition of help not only in my relationships with clients, but in my relationships with everyone. I always saw myself as a giving and helping person, and I regularly went out of my way to be there for the people in my life, even when it meant inconveniencing myself or taking on more than I could handle.

What I finally realized is that my professor wasn’t telling us to be unavailable for our clients. She wasn’t commanding us to be unhelpful. Instead, she was nudging us toward the understanding that to truly be of service to others, we have to position ourselves in a very particular way. In essence, we have to help them by empowering them to help themselves. That brilliant professor wanted her students to understand that the best thing therapists can do for their clients is keep them company on their journey toward solving their own problems, finding their own way. And now that I understand that, I want everyone I know to understand it as well.

There’s a quote from psychologist, author, and spiritual teacher Ram Dass that I’m totally crazy about. It goes: “I can do nothing for you but work on myself. You can do nothing for me but work on yourself.” The wisdom in that quote is the same wisdom imparted on me by my professor. You see, if you are to be of service to anyone in this world, your primary task is to be stable, centered, and well. It is only when you are well that you can help others be well. Think about it this way: When flight attendants give the safety instructions just before takeoff they remind you that in the case of an emergency, when the oxygen masks drop down, you must put yours on first before helping anyone else with theirs. The logic of this is very simple: If you run out of air, you’ll be in no position to assist anyone around you. Helping others, in that case, won’t be very much help at all. And so it is in every aspect of our lives. If we want to be helpful, we must first be well.

When my professor told us to “never help anyone,” she wasn’t telling us to be unkind. And I’m not telling you to be unkind either. Instead, I’m telling you that the greatest gift you can give to anyone in this world is to be the best version of yourself. First, because your doing so is likely to inspire other people, motivating them to work on themselves. Second, because it is only when you are centered and attending to your own needs that you have the capacity to be available to others. And finally, because helping others doesn’t mean taking over for them; it means being a source of support—someone they can lean on when they need it. If they’re going to lean on you, you’ve got to be sturdy. Your foundation has got to be solid.

Once I was able to shift my way of helping others, I never again felt the fatigue or resentment I was once so susceptible to experiencing. Instead, I felt a vitality that was invigorating for me and inspiring for the people around me. When I started to focus on stabilizing and centering myself, my capacity to support others expanded; at last, I became helpful in the truest sense.

I invite you to begin your own journey of rethinking what it means to be helpful, and I welcome you to consider that the best way to give to others is to first give to yourself.

 

Fundamental Factors of Successful Recovery from Addiction

a tree with red leaves and the sun behind it.

If you or someone you love has struggled with addiction, you know how difficult it is to get and stay clean. The road to recovery doesn’t go in only one direction, and as hard as it may be to accept, setbacks and relapses are part of the process. Although we all wish it were different, professionals in the field of addiction treatment don’t have a cure to offer. We do, however, have important information about the factors that improve the likelihood of long-term recovery. There’s no such thing as a one-size-fits-all recovery model, but the available research—and my own clinical experience—suggests that some factors are essential. Regardless of what form of treatment you receive or what kind of program you work, here are the fundamentals:

1) Readiness to Change – If you know anything about recovery, you know this one’s a no-brainer. No matter how bad things have gotten, no matter how much other people want you to change, if you’re not ready, it’s not happening. The truth is, it’s hard to take the first step. Sometimes even misery can seem safer than change, so taking action to do things differently is a courageous and commendable act.

2) Belief In the Ability to Overcome Challenges and Create Change – In psychology we call this self-efficacy. It’s basically a fancy term that refers to a person’s belief that he or she can make things happen. When it comes to recovery, this is crucial. Once you’ve decided to get clean, you have to have conviction that you can actually do it. This, of course, can be challenging, as past experiences may make it hard to see that change is possible. But every day clean and sober is an occasion to feel a little stronger, a little more capable. The beautiful thing about self-efficacy is that it builds on itself; the more positive changes you create, the more capable you feel, and the more capable you feel, the more energy you have to keep the positive changes going.

3) Maintenance of Psychological and Emotional Wellness – There’s a strong link that binds addiction, anxiety, and depression. Research shows that mental and emotional wellness are essential to a solid recovery program. Addressing the addiction without attending to any other dimensions of mental health is ineffective. People in recovery who suffer from untreated anxiety or depression tend not to stay clean for very long. When their symptoms become overwhelming, they seek relief; and since their brains are primed to seek a particular type of relief—in the form of their drug(s) of choice—it’s often only a matter of time before the untreated mental health issues result in relapse.

4) Support – This one cannot be understated. Study after study has shown that interpersonal support is essential to recovery. It isn’t easy to get and stay sober. Being in recovery—especially at first—can be terrifying and isolating. That’s why it’s so important to be surrounded by people who understand you; know what you’re going through; and are willing to stay by your side, cheering you on and keeping you focused when the going gets tough. Check out this 2015 Ted talk from Johann Hari, which offers a thought-provoking perspective on why support and connection are so vital to recovery.

5) Structure – Life in active addiction is often uncertain, unbalanced, unstructured, and unpredictable. That’s why a structured environment and routine are cornerstones of a successful recovery program. The research evidence and my experiences with clients make a strong case for the importance of setting up a clear structure and sticking to it. This means having a consistent routine and adhering to it every day. It means establishing a sense of organization and order with regard to daily tasks and responsibilities. It means attending to the basic activities of daily life, keeping a simple daily schedule that you can stick to, maintaining a balanced lifestyle, and making sure sobriety remains a priority. It might sound like a lot, but with a little help from the right supports, it’s completely possible—and it makes all the difference in the world.

6) Productivity – The last, but certainly not least, quality of a successful recovery program is productivity. Everyone who’s ever attempted sobriety can attest to the fact that boredom is a major trigger with enormous relapse potential. That’s why it’s so important to stay busy. The research suggests that people who engage in productive and meaningful activities tend to stay sober for longer. Whether it’s working at a job, engaging in a hobby, doing physical exercise, playing in an intramural sports league, fellowshipping at meetings, or volunteering in the community, staying productive is key to staying sober.

While this list contains proven factors that contribute to a solid recovery program, it is by no means exhaustive. If you’re new to recovery, it’s important to engage the support of a sponsor or mental health professional with experience in addiction. You are not alone, and yes, you can do this! Change is possible, and you are worth it.

You’ve Got To Feel It To Heal It

a woman holding a pink rose in her hands.

It makes me happy when clients come to session in the midst of emotional discomfort.

Now, I know what you must be thinking, so please allow me to explain. No, I’m not a sadist. I don’t take pleasure in my clients’ pain. But I do know an opportunity for healing when I see one.

What I mean is this: When it comes to emotional pain, most of the efforts people make to stop feeling it end up having the opposite effect. The more they try to numb or escape the emotion, the more they end up suffering. This numbing can come in various forms. For some people it’s drugs and alcohol, for others it’s work. Some people dive into relationships to escape unpleasant feelings, others dive into chocolate cake and ice cream. While some of these approaches are more dangerous than others, they all have the same underlying motivation: to avoid, suppress, distort, or deny whatever’s going on inside. We all have our own methods for doing this, and we can all likely agree that even if they seem to work a little at first, the relief doesn’t last. It’s like putting a Band-Aid on a deep wound—some of the surface gets covered, but the real affliction remains untreated.

The reason I get happy when clients come in feeling bad is that I know they’re in the perfect position to heal themselves. That’s because when it comes to the emotional stuff, you’ve got to feel it to heal it. This might seem like unfortunate news—after all, who wants to make direct contact with something that feels so awful? But you need to know that it isn’t all bad. You see, what you’ll come to find when you begin to practice healing through feeling is that you start to feel better much sooner than when you attempt to numb and avoid. Ever heard the expression what we resist persists? Well, it applies perfectly here. Whenever we try not to feel what we’re feeling, whenever we try to push out the pain, we end up getting even more tangled up in it. We add an extra layer of suffering to something that’s already agonizing.

When my clients sit across from me in a state of emotional distress, I have them start by inviting their pain to the proverbial table and asking it to have a seat. This begins the process of keeping company with the emotion. It also begins the process of relieving the pain. Next, I have them identify the emotion as specifically as possible. This is based on research that shows people who are able to identify their emotions and distinguish one from the other are more effective at coping with them. I have my clients track the physical manifestations of the emotional pain throughout their bodies. They might find that nervousness feels like a tightening in the chest or sadness feels like heaviness in the shoulders. Getting in touch with the embodied aspects of the pain furthers the process of addressing and healing it. The rest of the work is a deliberate and compassionate practice of making room for the emotion, learning from it, and trusting that it will pass. It always does.

If therapy or any form of self-work is to be effective, it has to go directly to the source. We have to be willing to go inward and visit the places we don’t want to go. We have to learn how to keep company with all of our emotions, not just the ones we like to feel. We have to make a practice of tuning into our internal experience and asking ourselves the difficult question: What am I trying to keep myself from feeling?

When you feel bad it’s natural to want to feel better; but once you start practicing this stuff, you’ll never again want to settle for feeling better when you know you can actually get better. You are capable, and you are worth it.

Therapy: It’s Not Supposed To Last Forever

a close up of grass with water droplets on it.

When the New York Times recently posted an opinion piece about the right amount of therapy for optimal change, I felt excited and gratified all at once. You see, as a brief therapist, I understand all too well that like most things, therapy is subject to the law of diminishing returns. This economics term essentially means that after a certain amount of input and effort, the benefits reaped from that effort—therapeutic change, for example—peak and plateau. More effort doesn’t yield more benefits; in fact, increased efforts could even do more harm than good.

It used to be that therapy was a lifelong process intended to get at the root of people’s unconscious drives and motivations—but quite frankly, nobody has time for that anymore! As the article mentions, most people these days seek therapy to overcome particular challenges and stuck situations in their lives. The truth is, it doesn’t take endless amounts of therapy to gain the perspective and tools necessary for overcoming those kinds of issues.

Every individual’s experience in therapy is different, but many years of practicing therapy have taught me (and the research supports) that most people see positive results from therapy after only a few sessions. The key is setting clear, measurable goals at the start of therapy and maintaining an open, honest therapist/client dialogue to be sure that progress is being made along the way.

Therapy isn’t for sick people; it isn’t for crazy people. When we treat it as an opportunity to get through difficulties, expand our view of the world, resolve relationship issues, and become better versions of ourselves, it’s clear that therapy is for absolutely everyone. And real change can happen sooner than most people think!

Check out the New York Times article here:

http://www.nytimes.com/2012/04/22/opinion/sunday/in-therapy-forever-enough-already.html?_r=1